Ranking Highlights

2019 RankChange from Baseline
Overall Ranking18-7
Access and Affordability14-6
Prevention and Treatment11-7
Avoidable Hospital Use and Cost20+9
Healthy Lives25-8
Medicaid ExpansionYes


Total Population5,959,960320,842,721
Median Household Income$87,913$65,727
Below 200% of Federal Poverty Level (FPL)22%31%
% White Race, Non-Hispanic51%61%
% Black Race, Non-Hispanic29%12%
% Other Race, Non-Hispanic10%9%
% Hispanic Ethnicithy10%18%
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Top Ranked Indicators

  • Alcohol deaths
  • Adults without all recommended vaccines
  • Employer-sponsored insurance spending per enrollee

Bottom Ranked Indicators

  • Drug poisoning deaths
  • Children who are overweight or obese
  • Central line-associated blood stream infection (CLABSI)

Most Improved Indicators

  • Home health patients with a hospital admission
  • Home health patients without improved mobility
  • Diabetic adults without an annual hemoglobin A1c test

Indicators That Worsened the Most

  • Hospital 30-day mortality
  • Preventable hospitalizations ages 18-64
  • Drug poisoning deaths

Comparison with the U.S. Average

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Estimated Gains Maryland Could Expect if Performance Improves to Match Top States

Top State in the U.S.Top State in the Mid-Atlantic regionGains for Maryland
186,891122,654more adults and children, beyond those who already gained coverage through the ACA, would be insured
93,0830fewer adults would skip needed care because of its cost
139,740111,792more adults would receive age- and gender-appropriate cancer screenings
11,7544,274more children (ages 19-35 months) would receive all recommended vaccines
92,74343,563fewer employer-insured adults and elderly Medicare beneficiaries would seek care in emergency departments for nonemergent or primary-care-treatable conditions
2,017975fewer premature deaths (before age 75) would occur from causes that are potentially treatable or preventable with timely and appropriate care

Estimated impact if this state’s performance improved to the rate of two benchmark levels — a national benchmark set at the level of the best-performing state and a regional benchmark set at the level of the top-performing state in region ( Great Lakes, Mid-Atlantic, New England, Plains, Rocky Mountains, Southeast, Southwest, West). Benchmark states have an estimated impact of zero (0).